Provider Demographics
NPI:1922522788
Name:VALENCIA, ANALILA (ND, MSOM)
Entity Type:Individual
Prefix:DR
First Name:ANALILA
Middle Name:
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:ND, MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4610
Mailing Address - Country:US
Mailing Address - Phone:877-587-4923
Mailing Address - Fax:
Practice Address - Street 1:858 2ND ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4610
Practice Address - Country:US
Practice Address - Phone:877-587-4923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA917175F00000X
CA18374171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath